FABIOLA D D'AMBROSIO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065855

License Status

CANCELLED

Business

Title

First Name

FABIOLA

Middle

Last Name

D'AMBROSIO

Business Name

FABIOLA D D'AMBROSIO MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/23/2014